RX help

[gogetter]

rx : +12.00-1.50x070 AGE: 78YRS
BALANCE
ADD +3.00...USING FT28

A-50
B-40
ED-51
FULL METAL FRAME (ROUNDISH)

1. CAN I BE COST EFFECTIVE ON THIS IN ANY WAY. IF SO WHAT DO I ORDER FOR THE OS.

2. WHAT MATERIAL GIVES LESS THICKNESS AND LESS WEIGHT.

THANKS ALL.

[Angel of Grace]

This pt certainly needs eye protection. I would use a full field aspheric lens design in a safe lens material. Standard plastic would be too thick and not safe. The main issue here is to protect his good eye. Cosmetically it would look much nicer to give him a bifocal on both sides. Or if the pt was willing to try a PAL you could give him that OD and a SV lens OS. Either way his lenses need to be made in an approved safe lens material which is either polycarb or trivex. Polycarb is available in ultralitestyles which will be thinner and lighter. Hope this helps some. :bbg:

[Ed_Optician]

In this case no matter whatt you do you will have thickness. Best bet is probably a full field aspheric FT...Probably not a FT-28 more likely a FT-22.
This Rx looks like a typical aphakic as in no implant. Not a whole lot of choices in this RX as far as materials go. Signet Armorlite made a full field aspheric lens for years unfortunately not much call for ths type of lens so selection is extremely limited....IOLs have been implanted with great regularity for the last 25 years of course the lens manufacturers have not developed new lenses suitable for this RX as well

Ed

[gogetter]

Is There A Cost Effective Way To Order By Using A Spherical Ft Mabe?

[Ed_Optician]

You ned something with a high enough base curve...probably a 13 bc minimum. Look through frame facts lens book and see what is available. Younger and Vision Ease have been the companies of choice in terms of unusual lenses in extreme base curves. Good luck on finding a suitable lens in Trivex or Poly. I would prefer trives because of the higher abbe value

[HarryChiling]

Vision Ease does custom Base Curves in the D25, D28, Rnd22 n=1.50
X-cel makes a D28 in a 12.25 BC n=1.56
Signet Armorlite makes a D22 Aspheric Lenticular in a 12.00, 14.00, 16.00 BC n=1.50
Signet Armorlite makes a Rnd22 Aspheric Lenticular in a 12.00, 14.00, 16.00, 18.00, 20.00 BC n=1.50
Essilor makes a Rnd22 Full field Aspheric in a 11.25, 12.50, 13.75, 15.00, 16.25 n=1.50
Bristolite makes a D28 Aspheric in a 16.00 BC n=1.50
Bristolite makes a D35 Aspheric in a 12.00 BC n=1.50
Bristolite makes a Rnd22 Full Field Aspheric in a 12.00, 14.00 BC n=1.50
Bristolite makes a D25 Full Field Aspheric in a 12.00, 14.00 BC n=1.50
Bristolite makes a D28 Full Filed Aspheric in a 12.00, 14.00 BC n=1.50
Rodenstock makes a D22 Full Field Aspheric in a 12.00, 13.00, 14.00, 14.75, 15.50, 16.25 n=1.50

Thats what I found for you using the Optics Search Engine and 11.25 is the lowest BC you can use in a 1.50 material before your back curves get into the pluses. Forget about thickness with this kind of Rx, the focus should be on clarity as you can see by the index of materials that come in these BCs.

[gemstone]

I agree with Harry. I like the bristol here. The bristol is expensive. It's probably the only thing you will get in a 28. Use the aspheric full field for the best price of these. Order it 3 below on the seg hight and adjust with nose pads. If this is not possible, chose another frame where it is possible. 3 below is important to give the best thickness. Sorry Angel of Grace, don't believe you can get a progressive here. (Maybe free form) It will be plenty thick enought to protect the good eye.

The most cost effective decision here you could make would be to keep it off that Horizon III and let the lab do it complete.

[chip anderson]

Why a well fitted, well managed rigid contact lens of course.:cheers:

[HarryChiling]

Why a well fitted, well managed rigid contact lens of course.:cheers:

The million dollar answer.

[gemstone]

The million dollar answer.

I don't know man. 78 years old, probly never had anything in his eye.

[Fezz]

I don't know man. 78 years old, probly never had anything in his eye.

Yeah, I'm not sure about this one either. I'm thinking Chip wants him to try a RGP....ruin his eye....so that he can than fit him with a prosthesis!

That Chip, always thinking ahead and thinking of cash flow!


;):cheers:;):cheers:;)

[HarryChiling]

If the tear BUT is ok (I just wanted to say but, hehe). Why not? I know people who are constantly putting 85 year olds into their first progressive, by that standard this is just as dumb. I don't know about a RGP, the guy might not have enough tears for the LL. :D

[chip anderson]

Have kept them in plain ole thick rigid PMMA lenses up to age 98, fitted at about age 50. Only stopped wearing two weeks before death, stopped due to dementia. Corneas still as clear as pre-fit, K's within .25 diopter. You don't know til you try.

Chip

[MarcE]

With what people of his age spend on healthcare. Regardless of the cost, this will be his most rewarding and cost-effective healthcare expenditure of the year. I wouldn't worry too much about cost. Your choices are so limited that it will pretty much be the same across the board.

No one mentioned frame size. I would try to get him out of that 50 eye and into one of those John Lennon round 42 eye. Now that is trendy. Get a full rim and see if the lab will go to a 1.0 edge. Don't worry, he will be protected. That will be the thinnest and lightest. Fit close to reduce mag.

Isn't a 1.56 Asp available?